Healthcare Provider Details

I. General information

NPI: 1588330112
Provider Name (Legal Business Name): KATHERINE ANN CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 LA CONTENTA RD
YUCCA VALLEY CA
92284-7303
US

IV. Provider business mailing address

61416 29 PALMS HWY UNIT 1081
JOSHUA TREE CA
92252-6843
US

V. Phone/Fax

Practice location:
  • Phone: 951-901-3533
  • Fax:
Mailing address:
  • Phone: 951-901-3533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberL155250
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: